N42.31
N42.31: Prostatic intraepithelial neoplasia
Billable / specific codeICD-10-CM
N42.31 is a billable, specific ICD-10-CM code for prostatic intraepithelial neoplasia. It is valid for submission on a claim.
Check N42.31 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- prostatic intraepithelial neoplasia III (PIN III) (D07.5)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- PIN
- Prostatic intraepithelial neoplasia I (PIN I)
- Prostatic intraepithelial neoplasia II (PIN II)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N42.31 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52986Billing and Coding: Biomarkers for Oncology
- A57427Billing and Coding: Transrectal Ultrasound
- A57689Billing and Coding: Lab: Flow Cytometry
- A59491Billing and Coding: Genetic Testing for Oncology
Alphabetic index entries that lead here
- Neoplasia›intraepithelial›prostate(histologically confirmed) (PIN)
- Neoplasia›intraepithelial›prostate›grade I
- Neoplasia›intraepithelial›prostate›grade II
Code history
Unchanged in every release from FY2024 to FY2027.